| NPI | 1114144573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 567) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 001189) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |